PMDD Quote of the Week

~During an episode of PMDD everything is magnified 100 times and everything in life sucks...but to those around us life stays the same.  That's the insane part of PMDD.  Everything in your life is the exact same as it was the day before, or even an hour before, but suddenly, in your mind, it's all gone to shit.~

PMDD Quote of the Week

Women with PMDD want to feel normal,  We don't want to admit there's something going on in our brain that isn't right.  Something that even the medical professionals can't agree on, much less define.  We can find a thousand excuses for why we are so clumsy at times, or so ravenous, or irritable, edgy, disoriented, anxious, or weepy.  We deny and deny and deny there is anything wrong with us, or that we are in any way acting strangely, because to admit that we are doing so means we will have to stop and deal with it somehow, and how can you deal with something that defies description?

Sometimes it's a battle you just don't want to fight. 

From my books, PMDD and Relationships and PMDD: A Handbook for Partners  

PMDD: A Handbook for Partners

At the request of my readers, I have written a PMDD book especially for partners of women with PMDD:

PMDD: A Handbook for Partners  

Does your wife or girlfriendʼs personality change drastically every month? Like clockwork? Youʼre far from alone. It could be Pre-Menstrual Dysphoric Disorder, or PMDD, a debilitating hormonal disorder which affects 3 - 8% of women in their fertile years, including many using birth control. PMDD is what makes it seem like sheʼs gone Dr. Jekyll and Mr. Hyde on you once, sometimes twice a month. Sometimes even for half of each month or more.

Inspired by the most-read posts in the blog Living on a Prayer, Living with PMDD, this book is for the partners of women with PMDD. Inside you will find insights as to what is going on in her mind during her seemingly inexplicable bouts of confusion, irritability, anger, rage, fear, anxiety, sadness and/or despair, what contributes to her state of emotional chaos, and tips on how to cope with and care for the woman you love during these, her most vulnerable days of the month.

Thereʼs no need for you to ride the rollercoaster of PMDD like you do. There are ways to help her manage her PMDD. Let this book help you to do just that, and find peace in the midst of the wildly careening emotions that PMDD brings into your relationship and life.

On sale now for Kindle at Amazon.  Introductory price of $4.99.  Available in print from Amazon as well for $9.99.  More than 200 pages of information and understanding about what itʼs like to be caught up in the unpredictability of a relationship with a woman who has PMDD, and what you can do about it.

PMDD Quote of the Week

~Knowing it's PMDD doesn't make it any less real or terrifying.~

Readers Speak Out: Advice for Partners of Women with PMDD

Today I uncovered another gem of wisdom from a reader on how to approach your partner's PMDD.  Rather than leaving it buried in the comments section of another post, I've decided to feature it here:

I just found this blog searching for something to help my husband know what to do with me. I feel better now, but I fear I'll regress and we'll struggle again as a family. I have PMDD. I say DO NOT bring it up when she is at her worst. She is completely irrational and doesn't want to answer stupid questions or talk about how she is feeling. [In that moment] it seems so obvious to her that you should know how she is doing. Don't bring it up on a date or otherwise special time between you two. It is better to ruin a good day or week to get her help, than to keep living like how you are and end up divorced.

First, you need to get your wife medical help. When you have an opportunity to talk—not in public—ask her if she's ever had PMS. She may not have realized her moods are associated with her cycle. You're either going to get a "Yes, dumb***" answer or a "No, not really, I don't think so."

Depending on how that goes, tell her you've done some research, you think her moods might be associated to her cycle, or, if she knows she has PMS, that it might be something more serious. Tell her about PMDD. Read her the symptoms. Ask her if this is how she feels sometimes. Feel bad for her, say you're sorry she has to endure that every month. Let her know there is help available.

I know it sounds insane. I know you shouldn't have to put up with it. I also know how well I'm doing now and wonder how much better last year could have been for my marriage if my husband would have reacted to me differently. If he could have said, "How are you doing? Not well? Let's get you to the doctor," instead of "You're so mean and I don’t have to put up with this." I think I would have felt better. I was already on an antidepressant. It wasn't working.

What I need to feel better is a new prescription and a husband who will back off when I'm irritable and take care of the kids. When I have a bad day, I need him to think, "She's mad, hmm, let's look at the calendar, yep, she's pre-menstrual, I'm going to leave her alone, not mention PMS, and take care of the kids until she feels better."

It might be a few hours, it might be a few days, but it won't be a few weeks like it was last year when he was mad at me for having a bad day; then I felt worse, then there was a fear he'd leave me. I get it, I wanted to leave me, too, but women with PMDD, I'll speak for myself at least, need to feel wanted and loved and worth it to help.

So that is my advice, stranger. Ruin a good day to get her the medical help she needs. Say, "I took next Thursday off work, would you like me to take you to the doctor?" If you have kids, arrange babysitting. It's so hard for moms to find an hour to go to the doctor, especially if she doesn't feel she's worth helping. Even if it's not PMDD she has, make sure she gets bloodwork done. They should be testing her thyroid to make sure there aren't issues there.

Either way, good luck, and from the wife's perspective, thank you husbands who stick it out and deal with us. Some of these marriages seem beyond repair, but husbands can do so much to help. Think of how she is doing and what you can do to help, even if that means just leaving her alone for a bit. She’s not rejecting you. She feels like s***. Unless she comes to you, your touch will be repulsive. It’s not personal, it’s just how she feels. Know that she cannot help how she feels when she is pre-menstrual. For me, I feel angry, tired, sad, and irritable so I am distant to try to protect the ones I love most (from me).

Perhaps your wife [doesn't] care so much if she is mean, but I care. I bet deep down she cares too because she loved you enough to marry you and doesn’t want to be mean to you. You don't have to understand it, you won't ever. You just have to love her through it. Hopefully she's worth it to you.

PMDD - Owning What's Yours and Discarding What's Not

Hopefully this post will provide some information or inspiration to help get you through the next six weeks of supposed holiday cheer.  For weeks now, we have been (and will continue to be) inundated with media images of joy, happiness, laughter, good times and carefree events with friends and family.  
  But this isn't even close to the reality of what happens for most people during this time of year. 
  Not to mention what happens to women with PMDD.
  But still we try.  Over and over and over again.  Because we love our families, and even when we feel miserable inside, we want to make things good for them.
  So this post is for women with PMDD who are unwilling—or literally unable—to take a break from your family.  And this means any time of the year, not just the holidays.  I'm offering this post today, though, because I know relationships tend to be super stressed once we start heading into Thanksgiving and families start spending more time together than usual.
So...Recognizing that

You can’t fix something you didn’t break

and

It takes two to make a relationship, and two to break it,

There is only so much you can do.

If the person you are trying to connect with, be they parent, partner, sibling, or child, is not interested in having a positive relationship with you—the reason why does not matter—there is nothing you can do but hang on and hope for the best.

Prayer can be very effective when you have reached this sort of impasse with someone in your life.

But I also want to make sure you realize that if you are having a bad relationship with someone, anyone, in your life, and you are doing your best to take responsibility for whatever shortcomings you may bring to the relationship, and it still isn’t working...

Then the problem isn’t you, and you have no business taking full blame for the faults in or failure of the relationship.

Many relationships are broken because the person you are in relationship with is also broken. They do not love themselves, and therefore literally cannot love you until they heal. This is not always their fault, this inability to love, but once people reach adulthood, how much love and goodness they have in their hearts and their lives is a direct result of their choices in life.

Yes, happiness is a choice. So are peace and harmony, anger and strife. People choose to be happy or sad, appreciative or critical, content or bitter, encouraging or derisive. It is absolutely true that when you have control over nothing else, over no other circumstances in your life, you still have control over your attitude. (I am talking about the other half of whatever relationship you are thinking about right now. This does not apply to you, the woman with PMDD, just yet. We will talk about you a little later.)

The fact that whoever you are having a relationship with chooses not to be happy, or not to work with you to better the relationship, or not to participate in the relationship at all, is not your fault.  That is their fault. Fully, completely, and entirely. Do not take the blame for anyone’s bad behavior but your own. Ever. Any time, any place, any where. If you are an adult, you are responsible for your own behavior. If you are under the age of 25, you can still get away with some stupid stuff, because your brain is literally not fully formed yet, and people in their twenties tend to do things without thinking them through.

That’s part of life, that’s part of growing up. But once you cross that line, and start heading into your thirties, it is time to start acting like an adult, or you will find yourself in relationship after relationship that does not work, and, if you have any sense of self-awareness at all, will leave you wondering why.

The first tenet of being a grown up is to take responsibility for your actions, good or bad. It’s that simple. You hurt someone or their feelings, you apologize, and do what you can to make it right. You don’t blame them for being too sensitive, clumsy, slow, scattered, discombobulated, or anything at all. Aside from the one to three percent of the population who are genuine sociopaths, we all know right from wrong. We are born knowing this right from wrong. In some of us, that knowing gets killed/suppressed/obliterated very early on, but for the rest of us, we know. We know when we are at the receiving end of something wrong, and we know when we are at the dishing out end of something wrong. That we choose to do whatever it is we are doing anyway, is exactly that...a choice. And adults take responsibility for their choices, be they right or wrong.

So if you have someone in your life who doesn’t understand your PMDD, it’s because they are choosing not to understand. Choosing not to love. Instead they are choosing to believe you are crazy or lazy or out of control because it suits some purpose that works for them, not you. (This is assuming you are making every effort to enlighten them.) They may or may not be aware of this on a conscious level, but either way, this is what is happening. If they can keep the focus on you and your failings, there is no need to look at their own. If they can get you to take the blame for whatever is wrong in the relationship, they don’t need to carry their own half of the load.

Being in a relationship takes work under the best of circumstances. If you are in a relationship with someone who thinks “love is all hearts and flowersˮ or “relationships just happen” then you have your work cut out for you. First of all, you’ll be doing double the work while they do none of it. And when something goes wrong, since you are doing all the work, you will most likely get all the blame.

Tell me how that is fair. Tell me it hasn’t happened to you.

Whether it’s with a friend, relative, spouse, or a  child, to make a relationship work you have to spend quality time together, and you each must make the effort to understand the other, and to find ways to create memories that make you both smile—instead of cry. No one can tell you what, where, or how this balance in your relationship should be. This is between the two of you and no one else. You and the other party are the only ones in the relationship, and you and the other party are the only ones who can figure it out, based on your individual levels of maturity, needs, personalities, time availability, emotional awareness, you name it.

Just like every woman is different, every relationship is different. You can look across a room and see a couple you think has it all, but you don’t know what goes on in that relationship. I don’t care what you think you know. You only know what you see and what you are told, and even then the information is skewed unless you are told by both parties in the presence of each other. When this happens, you still may not get the full picture. Couples regularly leave private details out of stories they tell about themselves.

But I digress. The bottom line is the people in your life are always responsible for their own actions and choices, even when they refuse to take responsibility for them. Not taking responsibility does not mean you are no longer responsible. The responsibility is still yours, whether you accept it or not.

None of this, of course, applies to a woman with PMDD when she is in the PMDD zone. Right now we are talking about partners/relatives who are in full control of their faculties at any given moment. Once a PMDD-ing woman enters her personal PMDD zone, all bets are off until her period comes and she returns to her regular state of mind.

But guess what? Once you have a handle on your own behavior, they can’t use it against you any more.

That said, no one who does not have PMDD themselves has the right to judge, blame, dismiss, discount, provoke, or otherwise torment you into making your PMDD worse. Neither do they have any right to excuse themselves for their behavior during an episode, especially while casting all the blame on you and your condition/disorder/disease/illness. Doing either—tormenting you and/or blaming you for your own torment—is abuse. Whether it’s fostered by ignorance or done deliberately, it’s still abuse, plain and simple.

It’s so easy to blame your own failings on someone who has legitimate burdens to carry. Do not fall prey to this tactic, this emotional abuse. As women we are often socialized to accept either responsibility or the blame for the bad behavior of those around us. This is doubly true for women with PMDD. Having PMDD makes us easy targets for blame.

Do not accept that blame unless it is truly yours. Daily I hear from women about something that happened during their latest PMDD episode, and without fail, they take the entire blame for the incident, even when the other party was a total jerk.

This has to stop.

Own up to what is yours, whether you are in the PMDD zone or not. And do not for one moment take responsibility for something that did not come out of YOU.

If awareness is the first step, and it is, shedding guilt and blame is the second. The book, Guilt is the Teacher, Love is the Lesson, by Dr. Joan Borysenko is an excellent resource for helping you to do just that. It changed my life, and if you want to change yours, it’s a great place to start.

Liana Laverentz is the award-winning author of two books on PMDD, PMDD and Relationships, and PMDD: A Handbook for Partners.  Both books are based on the most asked questions by her readers, and therefore the most popular posts on this blog. Both books are also an excellent resource for understanding your PMDD and for starting a meaningful conversation with loved ones who want to know more about this debilitating disorder we live with daily.  More information on PMDD can also be found on Liana's Facebook page, Living with PMDD.

PMDD Wisdom for the Holidays and Beyond

I received two excellent comments from readers this week, both of them spot on, and rather than leave this straightforward wisdom buried in the comments section at the end of an older post, I thought I'd bring it front and center for your consideration.  Please keep these comments in mind as we move into the craziest and most emotion-filled time of the year, and may your next six weeks be filled with more peace and understanding because of it:

Here’s some advice for anybody who lives with a woman experiencing PMDD from somebody who has it herself: If you suddenly find that the woman you live with is irritable, seems distant, or has actually left to be by herself, leave her alone! She’s not mad at you, you didn’t do anything wrong. If you follow her around, touch her, stare at her, and ask her questions when all she needs is to be by herself for a bit, you’re going to piss her off. Look at the calendar. Is she premenstrual? Yes? Then that is your explanation for her behavior. She doesn’t need to explain it to you every month. She doesn’t want to talk about it. This is super predictable, guys. I know you may see her not feeling well and worry about her and your natural reaction is to touch and comfort and find out what’s wrong. For the love of all that is holy, just leave her alone. She can’t control how she feels and she doesn’t like it either. Don’t make it worse. She most likely already feels terrible you have to deal with her. :(  ~Anonymous comment on my post, Dealing with PMDD - Advice for Men

Guys. I’m a wife. I’m a mom. I have PMDD. I get how you would think that if your wife/girlfriend can keep it together at work that you would think you are not her top priority. But, consider this. What if she is a mess around you because you and your kids are everything to her? Think about it. Work is important, but it’s just a job. Friends are important, but they are just friends. Wanting to be a good wife and mom is everything to most women I know. Personally, I find it challenging, if not impossible, to be a good wife and a good mom at the same time. Both roles require completely different demands. This is stressful. So then, take into account that when your wife is premenstrual, she has lost her ability to cope. She’s so stressed out and so overwhelmed she cannot deal with anything. It’s upsetting when the toast is taking too long to pop up let alone the child who is screaming because she said he can’t play with the electrical cords. So, it’s hard. We care so much about being a good wife and mom, that when we can’t be, we feel incredible guilt. We are incapable of being loving, fun and efficient all time and feel so bad about it that we think you and the kids would be better off without us. These feelings can affect us physically to the point that we can’t fulfill any of our roles. If we didn’t care about being a good wife and mom, it wouldn’t stress us out. When we’re premenstrual, we can’t handle the stress.
If that’s not the case with your wife, there’s another explanation. If she’s at work all day and comes home to you and the kids at night, that means she has spent the whole day trying so hard to not be a monster. This is exhausting. There is so much she wants to do and say, but she can’t. She holds it in. Coming home to the demands of being a wife and mom put her over the top, she has nothing left. She just can’t deal with it anymore. It’s not that you aren’t her top priority, it’s that when she has time with you, she literally has nothing left to offer.
Another reason would be that work is validating for her. She's probably good at what she does, and she gets a paycheck for it. There's a reward and purpose and it feels good to be a good employee. There is not much that makes you feel good about being a wife and mom. If the house is messy, you don't know what to make for dinner, dinner sucks, laundry isn't done, etc., it's easy to feel like a subpar wife. If your 3 year old isn't potty trained, your 15 year old doesn't know how to load a dishwasher, your kids watch too much t.v., your kids eat nothing but junk, your kids fight, your kids don't obey, you forgot your tooth fairy duties, etc., it's easy to feel like a failure as a mom. It's not hard to feel inadequate at home. Maybe the "needed benefit" for her going to work is that she feels good about herself the 8 hours she's there, and that 8 hours is what gets her through the other 16 every day.
There you have three explanations. I hope this gives you insight on what you’re wife might be thinking. We’re all different, but it was sad for me to hear you think you’re not a priority or of less importance to your wife because for me, it’s the opposite. It’s the anger and frustration and questioning of our love for you that gets us stuck in depression. Try responding to her with love. If she comes home from work a crazy angry person, or if you come home from work and she’s clearly irritable, that would be a good time for you to say, “Kids, Mom doesn’t feel well. Come to me for everything you need. Let’s clean up your toys, I’ll help with homework, I’ll feed you dinner, I’ll give you baths, I’ll put you to bed.” Just try it. See how much sooner she feels better. She needs to know you love her even though she’s having a bad day. I know it’s a lot of work to do everything at home after you’ve worked so hard all day, but contemplate this: If you get divorced or she kills herself, which is something women with PMDD think of often, you’re going to be doing everything every day anyway for the rest of time. ~Anonymous comment on my post, Dealing with PMDD - Advice for Men